Slipped capitol femoral epiphysis (SCFE) aka Epiphysiolysis... Epiphysiolysis (SCFE) is a spontaneous postero-medial displacement of the femoral epiphysis on the femoral neck, results from normal weight bearing and frequently presents in adolescence with a limp or pain referred to the hip or knee... As the proximal femoral epiphysis rotates from horizontal to oblique orientation during early adolescent growth, it is particularly vulnerable to normal weight bearing stress... Primary hyperparathyroidism Acromegaly Rickets Ovarian Dysgenesis Radiotherapy SCFE is graded as mild (up to 1cm of displacement), moderate (more than 1cm, but less than 2/3 of the width of the femoral neck) or severe (greater than 2/3 of the width of the femoral neck)... Closed complete reduction of severe SCFE carries about a 33% chance of avascular necrosis of the femoral head because the blood supply comes in via the femoral neck... Fixation of mild to moderate cases is usually accomplished by surgical pinning... Prognosis: Long term, these individuals are at risk for premature closure of the physis resulting in femoral shortening (leg length discrepancy if unilateral), femoral neck deformity, varus deformity and degenerative arthritis.

Slipped capitol femoral epiphysis (SCFE) aka Epiphysiolysis... Epiphysiolysis (SCFE) is a spontaneous postero-medial displacement of the femoral epiphysis on the femoral neck, results from normal weight bearing and frequently presents in adolescence with a limp or pain referred to the hip or knee... As the proximal femoral epiphysis rotates from horizontal to oblique orientation during early adolescent growth, it is particularly vulnerable to normal weight bearing stress... Primary hyperparathyroidism Acromegaly Rickets Ovarian Dysgenesis Radiotherapy SCFE is graded as mild (up to 1cm of displacement), moderate (more than 1cm, but less than 2/3 of the width of the femoral neck) or severe (greater than 2/3 of the width of the femoral neck)... Closed complete reduction of severe SCFE carries about a 33% chance of avascular necrosis of the femoral head because the blood supply comes in via the femoral neck... Fixation of mild to moderate cases is usually accomplished by surgical pinning... Prognosis: Long term, these individuals are at risk for premature closure of the physis resulting in femoral shortening (leg length discrepancy if unilateral), femoral neck deformity, varus deformity and degenerative arthritis.